基于感觉统合理论的体育游戏对发展障碍儿童临床康复疗效的评价

发布时间：2018-07-14 13:32

【摘要】：为进一步指导及优化临床作业治疗方案,探讨以体育游戏模式对发展障碍儿童进行感觉统合训练干预后,患儿感觉统合失调症状的康复效果。23名有不同发展障碍的儿童接受为期4周,以体育游戏治疗为主的感觉统合训练,每周训练5 d(周一至周五),每天训练60 min。训练内容包括触觉训练、前庭平衡觉训练以及本体感觉训练。治疗前后及治疗结束后4周末(即第8周)通过简式儿童感觉处理能力剖析量表、Conner’s教师用评定量表以及De Gangi-Berk感觉统合测量工具进行评分。结果发现:(1)患儿经体育游戏训练后,各项感觉统合能力均有改善,存在显著性差异(P0.05);(2)训练具有远期效应,随访时受试儿童能力评分相比治疗前仍存在显著性差异(P0.05);(3)受训后,不同年龄组别间感觉统合能力的改善程度存在显著性差异(P0.05),改善幅度由高到低依次为4~7岁组、8~11岁组、12~15岁组;(4)与训练刚结束时比较,随访时尽管感觉处理能力剖析量表与Degangi-Berk总积分显示有显著性差异(P0.05),但3组量表各因子评分差异均无统计学意义(P0.05)。试验过程中,所有受试儿童未出现不良反应,社会效度佳。结果表明,体育游戏型感觉统合训练对发展障碍儿童临床康复近期、远期疗效明显,且年龄越小,疗效越佳。
[Abstract]:In order to further guide and optimize the treatment of clinical work, to explore the use of sports games for children with developmental disabilities after sensory integration training intervention, Recovery effect of sensory Integration Disorder in Children. 23 children with different developmental disorders were trained for 4 weeks with physical game therapy, 5 days a week (Monday to Friday) for 60 minutes per day. The training includes tactile training, vestibular balance training and proprioceptive training. Before and after treatment and at the end of 4 weeks (8 weeks), teachers of Conners and de Gangi-Berk sensory integration measurement instrument were used to evaluate the sensory processing ability of children. The results showed that: (1) after physical training, the sensory integrative ability of the children improved, and there was significant difference (P0.05); (2) in the long-term effect of training. At the follow-up, there was still significant difference in the ability scores of the children compared with that before treatment (P0.05); (3) after training. There was significant difference in the improvement of sensory integrative ability among different age groups (P0.05). The range of improvement from high to low was 4 ~ 7 years old group, 811 years old group and 12 ~ 15 years old group. (4) compared with at the end of training, At follow-up although there was significant difference between the sensory processing ability analysis scale and the total score of Degangi-Berk (P0.05) there was no significant difference in the scores of all factors of the three groups (P0.05). In the course of the experiment, no adverse reactions were found in all the children, and the social validity was good. The results showed that physical play sensory integration training had obvious long-term effects on children with developmental disorders in the short term, and the younger the age, the better the effect.
【作者单位】：上海中医药大学附属市中医医院;华东师范大学教育学部;格罗宁根大学医学科学院;武汉体育学院期刊社;浙江医学高等专科学校海盐临床医学院;上海中医药大学基础医学院;
【基金】：国家自然科学基金资助项目(81102729,81473594) 国家“十一五”科技支撑计划项目(2007BAI10B01-027) 上海市卫生局中医药科研基金资助项目(20134358)
【分类号】：R749.94

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